Individual
BETHANY S GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
1 LONE STAR PASS, BLDG 46, SAN ANTONIO, TX 78264-3638
(210) 263-5720
(210) 263-5721
Mailing address
1 LONE STAR PASS, BLDG 46, SAN ANTONIO, TX 78264-3638
(210) 263-5720
(210) 263-5721
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
112579
TX
Other
Enumeration date
04/04/2008
Last updated
04/04/2008
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